Short-term clinical data suggest that NDIs may serve in the posterior jaw as an alternative to standard-diameter implants. However, certain clinical conditions must be observed to assure long-term success.
Implant rehabilitations in the posterior jaw are influenced by many factors such as the condition of the remaining teeth, the force factors related to the patient, the quality of the bone, the maintenance of the hygiene, the limited bone height, the type and extent of edentulism, and the nature of the opposing arch. The gold standard is to place a regular diameter implant (>3.7 mm) or a wide one to replace every missing molar. Unfortunately, due to horizontal bone resorption, this option is not possible without lateral bone augmentation. In this situation, narrow diameter implant (NDI < 3.5 mm) could be the alternative to lateral bone augmentation procedures. This paper presents a clinical study where NDIs were used for the replacement of missing molars. They were followed up to 11 years. Special considerations were observed and many parameters were evaluated. NDI could be used to replace missing molar in case of moderate horizontal bone resorption if strict guidelines are respected. Yet, future controlled prospective clinical trials are required to admit their use as scientific evidence.
Reticular oral lichen planus (OLP) is a chronic inflammatory lesion that affects the mucosa of the oral cavity. Being in most cases asymptomatic, it is often detected incidentally during routine oral examination. This report presents the case of a 38-year-old male who consulted for mild burning sensation in his mouth while consuming acidic foods and liquids. Intraoral examination revealed bilateral reticular OLP on the buccal mucosa; diagnosis was confirmed histopathologically. Treatment with topical corticosteroid leaded to significant symptoms improvement. Yearly long-term follow-up was requested to observe the disease activity and to rule out any malignant transformation.
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